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Individual

DR. DAVID M SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, BOX 777, ROCHESTER, NY 14642-0001
(585) 275-4733
(585) 271-7512
Mailing address
601 ELMWOOD AVE, BOX 777, ROCHESTER, NY 14642-0001
(585) 275-4733
(585) 271-7512

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
155353
NY
2080A0000X
Pediatric Adolescent Medicine Physician
155353
NY
2080P0216X
Pediatric Rheumatology Physician
Primary
155353
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00831989
NY
Enumeration date
07/11/2006
Last updated
08/24/2016
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